Long-term results of an individualized, multifaceted, and multidisciplinary therapeutic approach to provoked vestibulodynia

The Journal of Sexual Medicine
Symen K SpoelstraWillibrord C M Weijmar Schultz

Abstract

Although it is highly recommended to use a multifaceted approach to treat provoked vestibulodynia (PVD), the large majority of treatment studies on PVD used a one-dimensional approach. To evaluate the long-term treatment outcome of a multifaceted approach to vulvar pain, sexual functioning, sexually related personal distress, and relational sexual satisfaction in women with PVD. Retrospective questionnaire survey 3-7 years after treatment. Sexual functioning, sexually related personal distress, and relational sexual satisfaction were measured using the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale (FSDS), and the Dutch Relationship Questionnaire (NRV), respectively. An additional questionnaire assessed socio-demographic variables, intercourse resumption, and the level to which the women would recommend the treatment to other women with PVD. Post-treatment vulvar pain scores were obtained using a visual analog scale (VAS). Pretreatment scores were reported in retrospect on a separate VAS. The questionnaires were completed by 64 out of 70 women (91%). Mean follow-up was 5 years (range 3-7). Comparison of the mean pretreatment and post-treatment VAS scores showed a significant reduction in vulvar pain. Pain...Continue Reading

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Jan 13, 2015·Pain Practice : the Official Journal of World Institute of Pain·Jose De AndresAna Minguez
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Oct 26, 2011·The Journal of Sexual Medicine·Charmaine BorgPeter J de Jong
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